Multi-functional and modular urine collection system

ABSTRACT

Multi-functional urine collection devices, embodiments of which can include a self-expanding container having a receptacle for receiving urine from the tubing, a pump for moving urine through the tubing and into a receptacle, extendable tubing that may be shortened and/or lengthened, and/or one or more meters for monitoring, measuring, transmitting or storing a characteristic from the urine.

BACKGROUND

Urinary drainage bags are conventionally used in hospitals and healthcare facilities when it is necessary to collect urine from acatheterized patient over an extended period of time. Such bags areroutinely used by post-operative patients as well as those withurological disorders for collection, measuring, and testing thefrequency of urinary output. Urinary drainage systems typically includea catheter with tubing attached thereto, connected to a collection bagmade of a polymeric material such as a PVC film. The collection baggenerally includes a component for emptying the bag, such as a drainagetube. In operation, the patient is first catheterized, and the catheteris then connected to the drainage bag through a length of tubing. Thebag is normally supported either from the bed rail or other supportstructure (usually below the level of the patient), the urine drainingthrough the catheter, the tubing, and then finally into the bag due togravitational forces. Most bags are provided with drain ports throughwhich measured quantities of urine can be removed for various testingprocedures.

Typical urine drainage bags are described in U.S. Pat. No. 3,650,272(titled “Drainage Bag,” issued Mar. 21, 1972), U.S. Pat. No. 4,312,352(titled “Hanger, hook and handle assembly for urinary drainage bag,”issued Jan. 26, 1982), U.S. Pat. No. 4,313,447 (titled “Collection bag,”issued Feb. 2, 1982), U.S. Pat. No. 4,386,930 (titled, “Collectiondevice for body fluids with antiseptic pump,” issued Jun. 7, 1983), U.S.Pat. No. 4,443,219 (titled “System for aseptically draining a urinebag,” issued Apr. 17, 1984), U.S. Pat. No. 4,452,253 (titled,“Collection bag,” issued Jun. 5, 1984), U.S. Pat. No. 4,659,329 (titled,“Liquid drainage system,” issued Apr. 21, 1987), U.S. Pat. No. 4,723,950(titled, “Urine drainage bag outlet with barrier against microbialinfection,” issued Feb. 9, 1988), U.S. Pat. No. 5,375,799 (titled,“Collection bag hanger with rail width-adjustable hook arms,” issuedDec. 27, 1994), and U.S. Pat. No. 5,454,798 (titled, “Disposable urinebag,” issued Oct. 3, 1995), each of which is herein incorporated byreference in its entirety.

One of the potential drawbacks with typical urine collection bags is thepossibility of contamination and infection to the patient. Inparticular, when the bags are opened to remove some or all of the urine,air may be permitted to enter into the outlet spout, allowing bacteriato migrate up the spout into the bag, and finally into the bladder,causing infection. Additionally, there may be the problem ofcontamination of hospital personnel due to leakage or splattering ofurine during the collection process. Urine may also collect in thetubing connecting the catheter to the urine collection bag, referred toas urine stasis or hold up within the tubing. For example, urine maystand in the tubing because the pressure expelling the urine down thetube into the collection bag is less than the pressure required to emptythe tubing into the collection bag.

In traditional urine collection systems, urine is moved from thecatheter into the collection bag solely due to gravitational forces.Thus, evacuation of urine from the catheter and/or tubing may beprevented when the tubing pathway is not directed downward (e.g., if thetubing is lying flat, or if a portion of the tubing is not above thecollection bag). Urine collection within the tubing is undesirable andmay contribute to infection, spilling and/or urine reflux. Furthermore,some urine collection systems analyze urine from urine collected in thecollection bag, meaning that urine collected within the catheter and/ortubing may prevent accurate measurement/analysis. On average, about80-90 mL of urine are produced in 1 hour. This is approximately the samevolume required to fill the current commercially available drainagetubing. Standing urine in the tubing is undesirable both from a possibleretrograde infection standpoint and because it necessitates spendingtime and resources to clear the tubing. It is hypothesized that nothaving collected urine in the tubing will aid in infection control andreduce patient exposure and hospital costs.

BRIEF SUMMARY OF THE INVENTION

Accordingly, described herein are urine collection devices (includingbags), systems of collecting urine, methods of making and using urinecollection bags, and kits comprising urine collection bags. The urinecollection devices and systems described herein allow unattendeddrainage, and may prevent urine stasis and reflux. Further, these urinecollection devices and systems may allow collection of urine evenagainst gravity, and may provide a closed, non-contact system forcollecting and disposing of waste urine. Although the discussions,systems and methods of use described herein are all described for urineand urine collection, the same concepts and ideas may be applied todraining other bodily fluid applications, including wound drains, etc.

In general, urine collection devices may include a receptacle to collecturine (e.g., a bag, a box, a pouch, or any appropriate container) havingan inlet through with urine enters the receptacle, and tubing connectedto the inlet for transporting urine from a subject into the receptacle.The urine collection devices described herein are adapted to preventretention of urine within the tubing. For example, urine collectiondevices and systems described herein may include a self-expandingcontainer having a receptacle for receiving urine from the tubing, apump for moving urine through the tubing and into a receptacle,extendable tubing that may be shortened and/or lengthened, and one ormore meters for monitoring, measuring, transmitting or storing acharacteristic from the urine. In one variation, the urine collectiondevice includes an expandable container forming a receptacle, thecontainer having a contracted position and an expanded position, and abias for converting the container from the contracted position to theexpanded position. The urine collection device also may include an inletinto the receptacle formed by the container through which urine canenter. The expandable container may be self-expanding.

The bias may be part of the container or it may be a separate biasingelement. For example, the walls of the container may be made of amaterial having a shape memory so that the container will self-expandfrom a contracted position (e.g., at least partially closed), into anexpanded position (e.g., mostly open). A separate biasing element suchas a spring (e.g., a leaf spring) may be included as part of theexpandable container to expand the container from the collapsed toexpanded configuration. A holdfast (e.g., a latch, hook, fastener,strap, etc.) may be used to secure the expandable container in eitherthe expanded or collapsed configuration (or both). For example, theexpandable container may be secured in the collapsed configuration;releasing the expandable container from the collapsed configurationallows the container to automatically expand into the expandedconfiguration.

In some variations, the urine collection device may include an outletport through which urine may be removed from the receptacle. The outletport may include tubing. The outlet port may also have an outlet valve.In some variations, the outlet valve mates with a specific receivingdevice (e.g., a disposable bag, or a transport container) so that urinecan only empty through the outlet valve when it is properly mated,preventing accidental spilling of urine. In some variations, the urinecollection device is disposable, or configured for a single use. Theurine collection device having an expandable container may be part of asystem including: a meter, a pump, outlet valves, air inlets/outlets,extendable tubing, etc. Any combination of these components may beincluded with the expandable container.

Also described herein are methods of collecting urine from a subjecthaving a urinary catheter (e.g., a Foley catheter). The methods includereleasing a urine collection device from a contracted position into anexpanded position, in which the urine collection device includes aself-expanding (e.g., expandable) container forming a receptacle. Thecontainer has a contracted position, an expanded position, and a bias toconvert the container from the contracted position to the expandedposition. The method may also include connecting the urine collectiondevice to a urinary catheter.

Also described herein are meters for measuring at least onecharacteristic from urine, the meter including a measurement region forholding urine and a meter release to control the emptying of urine fromthe measurement region into the receptacle. The measurement region maybe calibrated, for example, by including calibration markings that canbe read by an observer or recording device. Thus, the measurement regionmay include a series of graduated regions that show the volume of urine.In some variations, the measurement region includes a sensor or sensors,for detecting some characteristic of the urine. Any appropriate sensormay be used, including optical, electrical, sonic, temperature, etc.

The meter (e.g., the measurement region) may include a plurality ofports that connect the meter to the receptacle region of the urinecollection device through which the urine may be emptied from the meter.A manual or automatic meter release (e.g., a switch, lever, button,etc.) triggers the emptying of the meter region into the receptacle. Insome variations, the meter is connected to the receptacle and the inletthat can connect to tubing (and ultimately to a subject from whom urineis being collected). Urine may empty though the inlet and into themeter, where some characteristic of the urine is measured. For example,the meter may measure the volume of urine released (e.g., over a periodof time), the flow rate of urine released, the pH of the urine, thetemperature, and/or the presence or concentration of a compound in theurine (e.g., urea, salts, toxins, etc.). Any appropriate measurement maybe made. After completing a measurement, the urine can be emptied fromthe meter (e.g., the measurement region of the meter) into thereceptacle, where the urine may be stored until it is emptied from thereceptacle, or until the urine collection device is removed.

Also described herein are urine collection devices and systems includinga pump configured to move urine through the tubing of urine collectiondevice. Any appropriate pump may be used, including an impeller pump.The pump may be controlled either automatically, manually or both. Insome variations, the pump may be controlled by a sensor that detectsurine within the tubing. In some variations, the pump is controlled by atimer, so that it turns on/off at settable intervals. The pump may applypositive (blowing) or negative (vacuum) force to move urine down thetubing. In some variations, the pump is connected to the tubing portionof the urine collection device (e.g., near the catheter attachmentregion, near the inlet of the receptacle/meter, or between thesepositions). However, the pump may also be connected to a meter region,or to the receptacle, so that it can draw (e.g., by negative pressure)urine from the tubing.

Urine collection devices and systems including a pump may also includeone or more air inlets or outlets for regulating the pressure (e.g., airpressure) within the urine collection device. An air inlet or outlet maybe an air inlet/outlet valve, such as a one-way valve. Air inlet and/oroutlet ports may be positioned so that the pump moves urine down thetubing and ultimately into the receptacle for holding the urine withoutallowing leakage of urine from the urine collection device and withoutapplying positive or negative pressure to the catheter or a subjectwearing a catheter. The pump may be battery powered, and may bedisposable, or configured for a single use.

Also described herein are urine collection devices and system includingextendable tubing. Extendable tubing may provide a fluid pathway forurine, allowing urine to drain from a catheter and into the receptacleof a urine collection device (including through an inlet and/or ameter). Extendable tubing is typically flexible. In general, extendabletubing (or adjustable tubing) includes a compressed length and anextended length that is longer than the compressed length, and may beadjusted to be any appropriate length between the extended andcompressed lengths. The extendable tubing may have an outer surface andan inner surface. The inner surface may be substantially free of wallirregularities where urine may be retained. For example, the inner wallmay be smooth, and may include an elastomeric material, so that it canextend between the compressed and the extended lengths. In somevariations, the inner wall includes the inner lumen of an elastomerictube that is surrounded by an adjustable outer wall. The outer wall isadjustable to vary the length of the tubing. For example, the outer wallmay be made from regions that change their position or conformationrelative to each other to lengthen or shorten the tubing. The outer wallmay include segments that telescope to shorten or lengthen, by slidinginward or outward in overlapping sections. In some variations, the outerwall includes regions that are hinged so that they move, accordion-like,to shorten or lengthen the tubing. In some variations, the outer walland the inner wall are integral regions of the same tubing.

As described herein, extendable tubing can hold or maintain whateverlength it is adjusted to over time without contracting or expanding backto a resting state (unlike simple elastomeric tubing). Expandable tubingmay be configured to expand more than 1.5 times the compressed length ofthe tubing. For example, expandable tubing may be able to expand morethan 2 times, 2.5 times, 3 times, 5 times, or 10 times the length of thecollapsed length. In some variations, the tubing (e.g., the inner wallof the tubing that contacts urine) may include a material that decreasesany retention of urine by the walls of the tubing. For example, theinner surface of the tubing may be coated with an agent that increasesthe wetability of the tubing, preventing retention of urine within thetubing.

As described above and herein, any of the combinations of these features(e.g., expandable or self-expanding containers, expandable tubing,pumps, meters, or the like), may be used in any combination orsub-combination to form a multi-functional urine collection device.Further, any of these components may be part of a urine collectionsystem and may be used to collect and/or dispose of urine from a subjectin need thereof.

These and other embodiments, features, and advantages of the presentinvention will become more apparent to those skilled in the art whentaken with reference to the following more detailed description of theinvention in conjunction with the accompanying drawings that are firstbriefly described.

BRIEF DESCRIPTION OF THE DRAWINGS

FIGS. 1A and 1B show perspective and side views, respectively, of aurine collection system as described herein.

FIGS. 2A and 2B show a urine collection device having an expandablecontainer as described herein.

FIGS. 3A and 3B show another variation of a urine collection device asdescribed herein.

FIG. 4 shows a perspective view of a portion of a urine collectiondevice as described herein.

FIG. 5A shows a front view of a urine collection device similar to thatshown in FIG. 4.

FIGS. 5B and 5C show transverse and sagittal sections, respectively,through the urine collection device shown in FIG. 5A.

FIG. 5D shows an exploded view of one region of the urine collectionsdevice shown in FIG. 5A.

FIG. 6 is a perspective view of another urine collection system asdescribed herein.

FIG. 7 is another perspective view of the urine collection system asshown in FIG. 6, including additional components.

FIG. 8 shows a schematic illustration of a pump for use with a urinecollection device, as described herein.

FIG. 9A shows a region of an extendible tubing for use with a urinecollection device as described herein.

FIGS. 9B and 9C show a urine collection device having extendible tubingthat is contracted and extended, respectively.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

The following detailed description should be read with reference to thedrawings, in which identical reference numbers refer to like elementsthroughout the different figures. The drawings, which are notnecessarily to scale, depict selective embodiments and are not intendedto limit the scope of the invention. The detailed descriptionillustrates by way of example, not by way of limitation, the principlesof the invention. This description will clearly enable one skilled inthe art to make and use the invention, and describes severalembodiments, adaptations, variations, alternatives and uses of theinvention, including what is presently believed to be the best mode ofcarrying out the invention.

Before describing embodiments of the invention, it is to be understoodthat unless otherwise indicated, this invention need not be limited toapplications in humans. As one of skill in the art would appreciate,variations of the invention may be applied to other mammals as well.Moreover, it should be understood that embodiments of the presentinvention may be applied in combination with any appropriate catheter,including but not limited to Foley catheters. Urinary catheters mayinclude any tube or tube-like structure that provides access to thebladder. Urine collection systems and devices, as described herein, maybe used to collect urine from any subject in need thereof. A subject mayinclude any appropriate user, including a medical patient. It must alsobe noted that, as used in this specification and the appended claims,the singular forms “a,” “an” and “the” include plural referents unlessthe context clearly dictates otherwise. Thus, for example, the term “acatheter” is intended to mean a single catheter or a combination ofcatheters, “a fluid” is intended to mean one or more fluids, or amixture thereof.

The collection devices described herein may include a container having areceptacle for holding urine, at least one inlet or opening into thereceptacle through which urine may pass, and tubing forming a fluidconnection between the receptacle and the catheter through which urinemay pass. As described further below, a urine collection device may alsoinclude an expandable container, a meter for measuring at least oneparameter from a subject's urine, extendable tubing, and a pump to helpmove urine from the tubing and into the receptacle. Additionalcomponents, particularly those concerned with preventing or reducingleakage and spilling of urine from the urine collection system, andpreventing pooling of urine in the catheter and tubing are alsodescribed.

Expandable Containers

Any appropriate container may be used as part of the urine collectiondevices and systems described herein. In particular, the urinecollection device may include an expandable container for connecting toa catheter and collecting urine therefrom. An expandable container maybe any container having a receptacle that has an “open” or expandedconfiguration, a “closed” or collapsed configuration, and a bias forconverting the container from the closed to the open configuration (orfrom the open to the closed configuration). Thus, the interior volume(e.g., the volume of the receptacle) of the expandable container mayincrease or decrease depending on the configuration of the expandablecontainer. The expandable container may assume any configuration betweenfully expanded and collapsed.

The expandable container may be fully or partially expanded during use.In some variations, the expandable container can be completelycollapsed, so that there is little, if any open volume into which urinecan drain. Furthermore, collapsed containers can be more easily storedor disposed. In some variations, the expandable container can be onlypartially collapsed, leaving some residual volume. Filling a containerhaving an open volume (such as an expandable container that is fully orpartially expanded) is typically easier than filling a closed volume.For example, the filling pressure required to fill an open container isless than the filling pressure required to fill a closed container,because force must be used to open the closed container as it is beingfilled. Thus, the filling pressure (force) must be sufficient to openthe container, otherwise fluid will not enter the container. In aurinary collection system, this may mean that urine will stand withinthe tubing connecting the urinary collection container and the catheter,or reflux back towards the catheter. Thus, an expandable container mayinclude a bias to automatically open (or close) the container.

In general, a bias tends to automatically open or close an expandablecontainer. For example, a bias may act on the walls of the expandablecontainer to force them apart and thereby expand the expandablecontainer. An expandable container may have either hard walls, softwalls, or a combination of hard and soft walls. One or more biases maybe attached to one or more of the walls of the expandable container toapply force to open or close the container. For example, a collapsiblecontainer may be made of layers of PVC material welded along an edge,and a bias, such as a leaf spring, may be connected (e.g., attached tothe walls or contained within the walls) thereto. Without a bias, thecontainer must be opened manually before its use (e.g., by pulling theedges away from each other). A bias typically automatically opens theexpandable container, and keeps the container in the open configuration.Any appropriate bias may be used to apply force to convert theexpandable container between a closed and an open configuration. Forexample, a bias may include a biasing element, such as a mechanical bias(e.g., a spring, elastic, etc.), a pneumatic bias (e.g., applying airpressure to open the expandable container), an electrical bias (e.g., amagnet, or motorized biasing element), or the like, or any combinationthereof.

For example, a biasing element can be a spring. In some variations, thebias is a compression/torsion spring. In one variation, the bias is aleaf spring that applies force to open or expand an expandablecontainer. Such mechanical biases may be made from any appropriatematerial, including elastic, or shape-memory materials. For example, abias may be made of metals (e.g., steel, carbon, nickel, copper,titanium, etc.), including alloys (e.g., Nickel-Titanium Alloy, etc.),polymers (e.g., plastics, rubbers, etc.), or any other appropriatematerial or combination of materials. In some variations, the bias maybe made of a material that is capable of withstanding standardsterilization methods and retaining its function.

A bias may be a separate part of an expandable container, or it may beintegral to the container. For example, the walls, edges, or otherregions of the expandable container may act as a bias. In one variation,the container includes a material that can be deformed from a relaxedconfiguration (in which the expandable container is expanded), into acompressed configuration (in which the expandable container is closed).In one embodiment, the walls include a material having a shape memory.Releasing the expandable container from the compressed configurationallows the container (e.g., the walls of the container) to return to therelaxed configuration, opening the container. Thus, a bias canautomatically open an expandable container. In some variations, theexpandable container may be held or secured in a configuration (e.g.,compressed or expanded) by a holdfast.

Any appropriate holdfast may be used to maintain the position of theexpandable container. For example, a holdfast may include a latch, astrap, a tie, a button, a snap, a lock, an adhesive, a clamp, etc. Insome variations, a holdfast prevents the expandable container fromexpanding when in the collapsed state. In some variations, the holdfastprevents the expandable container from collapsing when in the expandedstate. Thus, a holdfast can be used to hold the expandable container inan open configuration or a closed configuration. The holdfast may bemanually secured by a user, or automatically secured. For example, theuser can release a holdfast holding the expandable container collapsed.This allows the expandable container to expand into an openconfiguration so that urine can readily fill the inner receptaclevolume. In another variation, the same holdfast, or a different holdfastcan be used to hold the expandable container in the open configurationso that it does not collapse during use.

The holdfast can attach to the expandable container (e.g., the walls orsides of the expandable container), or to any other region of the urinecollection device, such as the bias). For example, the holdfast caninclude a member (e.g., a beam) that attaches between two or more wallsof the expandable container, preventing them from moving relative toeach other. In some variations, the expandable container is locked orheld in the collapsed state by packing materials (e.g., a box, awrapper, etc.).

The expandable container may be made of any appropriate material capableof retaining urine, including but not limited to: rubbers (e.g., naturalrubbers, halogen-free diene rubbers, hydrogenation products ofhalogen-free diene rubbers, acrylic rubbers, epichlorohydrin rubbers,olefin rubbers, halogen-containing rubbers, silicone rubbers, purerubbers, fluorinated rubbers, and fluorinated blends, mixtures ofrubbers and polymers, etc.), plastics (polyolefins, such aspolyethylenes, plastomers, polypropylenes, chlorinated vinyl resins suchas polyvinyl chloride, polyurethanes, ethylene-vinyl acetates,polyesters, nylon, etc.), papers (e.g., cellulose, etc.) or combinationsof materials. Furthermore, the expandable container can includecombinations of materials (e.g., layers, regions, etc.), and differentmaterials in the combination can have different properties.

In one embodiment, the inside of the expandable container includes areceptacle that is used to store urine when the expandable container isin the expanded state. Thus, the inside of the expandable container caninclude a liquid-proof material or a material that is coated to preventleakage or damage from the urine, such as a hydrophobic material (e.g.,waxes, plastics, etc.). In some variations, the expandable container ismodular. For example, the receptacle region of the expandable containermay be separate from the outer surface of the expandable container.Thus, the expandable container can include a combination of materialshaving different properties. In some variations, the expandablecontainer includes a framework (e.g., a collapsible/expandableframework) to which the receptacle region is attached.

The expandable container can include a flexible material, a rigidmaterial, or a combination of flexible and rigid materials. For example,the walls of the expandable container can include a durable, stiffmaterial so that the expandable container can support its own weight. Insome variations, the expandable container includes a flexible materialto facilitate collapse thereof to a very small profile (e.g., forstorage or packaging). In one variation, the expandable containerincludes a material that has a relatively high toughness. Thus, thecontainer can be durable enough to withstand multiple cycles of openingand closing, while also having a relatively high puncture resistance.

The expandable container can include a disposable material, and all or apart of the expandable container can be disposed of after collectingurine. For example, the expandable container can include a “flushable”material that can be disposed of in a septic system. The expandablematerial can therefore be made of a material that degrades or decomposesover time, or after contact with a catalyst. In some variations, theexpandable container is reusable, while the receptacle region isdisposable. Any portion of the expandable container can be coated,embedded or treated with a material to provide beneficial properties.For example, the expandable container can be coated with odoreliminating materials, antibacterial materials, antiseptic materials,perfumes, colorants, etc.

The expandable container can include any appropriate shape in either theexpanded or collapsed state. For example, the expandable container caninclude a series of “nested” shapes, which telescope out from thecollapsed to the expanded shape. The expandable container can alsoinclude a functional shape, such as a shape having stability whenstanding in the expanded state so that it can rest upright, allowingfilling from an inlet near the top of the device. For example, theexpandable container can include a bottom region that is flat. Theexpandable container can also include hooks or attachment sites forhangers, stands, and the like.

In some variations, the expandable container is configured to have awide base region, so that urine may be stored in the receptacle awayfrom the inlet. Thus, as urine fills the expandable container, it isprevented from blocking the inlet, flowing backwards, and/or leaking.The expandable container can also be shaped or adapted to connect with(or include) a meter system or empting container or attachment, or anyother appropriate device, as described further below. The expandablecontainer can be calibrated, or can be formed to hold a specified amountof urine. Examples of different types and shapes of expandablecontainers are illustrated in the figures and described herein.

FIG. 1 shows an example of a urine collection device 100 having anexpandable container 101 forming a receptacle. The expandable container101 is a telescoping-type container which is shown with three segmentsthat expand outward to form an open inner volume into which urine canflow. The expandable container 101 includes a bias (not shown) whichautomatically expands the container. Before use, the container may becollapsed so that the segments fit into each other, reducing the innervolume, as well as the overall profile of the urine collection device.The expandable container shown in FIG. 1 has somewhat rigid walls whichmaintain their shape without additional support. The expandablecontainer 101 is also shown as transparent, allowing the level of fluidin the container to be visually monitored. The container (or region ofthe container) can be any color. In some variations, only a portion ofthe container is transparent (or translucent). In some variations, thecontainer is opaque. The level of urine within the container can bemonitored in any appropriate manner, including visually, electronically,or the like. For example, the expandable container can include a sensorthat detects the level of urine within the receptacle, so that it may beindicated.

The example of a urine collection device shown in FIG. 1 includes otherfeatures that may be included in variations of a multi-function urinecollection system, including an outlet or drain 105 that connects to aflushable pouch 107 or other removal system, extendible tubing 110connecting to the catheter (shown as a Foley catheter 120), and a fluidtransport pump 115 to help move urine from the tubing into theexpandable container 101. A monitor or meter 130 can also be used tomeasure and/or transport or record one or more characteristics of theurine (or of the subject). The urine collection device can also includea hook 125, a stand, or any other appropriate attachment or securementregion. The urine collection device shown in FIG. 1 includes a hook 125attached to the back side of the expandable container; however, thisattachment can be connected anywhere on the urine collection device. Insome variations, a strap (e.g., a belt, a tie, etc.) may be usedinstead, or in addition to, a hook or other type of attachment.

FIGS. 2A and 2B show another variation of an expandable container 200.This variation includes a spring (not shown) that pushes the opposingsides of the expandable container apart, as shown in FIG. 2A. The springmay also hold the unit open. In some variations, the maximum open volumeis limited by the size of the expandable container and not the leafspring. For example, the maximum open volume may be achieved before thespring is completely relaxed because the shape and size of theexpandable container limits the size to which the container can beopened. In FIGS. 2A and 2B, the urine collection device includes a meter210 having a measurement region that is calibrated into which urineenters from the tubing 220 before entering into the receptacle part ofthe container. Thus, the amount of urine entering the device over timemay be monitored. In some variations, there is a port connecting themeter to the receptacle of the urine collection device that may beopened or closed to permit or limit the flow of urine from the meterinto the collection receptacle. In FIGS. 2A and 2B, the urine collectiondevice is shown having a horizontal orientation, although in operation,this urine collection device may be oriented vertically, so that gravitymay assist the flow of urine into the meter, collection device, and/orthe outlet 205.

FIG. 2B shows the urine collection device of FIG. 2A in a collapsedconfiguration. Pressure (as from a hand, or a locking device) is appliedand maintained to compress the expandable container. The walls of theexpandable container in FIGS. 2A and 2B are flexible, so that they maybe readily collapsed as pressure is applied against the bias. Thus, thisurine collection device may be stored or packaged in a low-profileconfiguration.

Another variation of a collapsible chamber 301 for a urine collectionsystem 300 is shown in FIGS. 3A and 3B. In this example, the biasexpands the expandable container by pushing against at least two of thewalls (here, two opposing walls) of the collapsible chamber 301. Thebias includes a compression spring (not shown) and the collapsiblechamber includes a three piece construction. In one variation, two ofthe walls (e.g., two of the facing walls) are rigid or semi-rigid, andthe connecting sides (or continuous side) include a flexible material,so that the inner volume may be readily collapsed and expanded. Thecollapsible chamber is shown fully expanded in FIG. 3A. FIGS. 3A and 3Balso shows additional features that may be included on any of the urinecollection devices and systems described herein, including a first meter(shown as an electronic meter 320), a second (volume indicating) meter330, a fluid transport pump 340, and an outlet port 350 for connectionto a disposable pouch 360 (as shown in FIG. 3B) from which urine can beemptied from the expandable container.

As shown in FIGS. 1-2B, fluid held in the inner volume of the expandablecontainer (the receptacle) can be drained by any appropriate method. Forexample, the expandable container can include a drain at the base (orany other appropriate location) through which urine can be emptied fromthe container. Urine can be drained directly into a waste container(e.g., a waste container, a disposable bag or pouch, a toilet, etc.), orinto an intermediary holding and/or transport device (e.g., a transfercontainer, or the like). The drain or outlet may be any appropriateoutlet to allow or encourage urine to drain from the collection device.In some variations, the urine collection device includes an outlethaving a controllable, outlet port that permits fluid to flow from theurine collection device without spilling or leaking. For example, theurine collection device may include an interlocking mechanism that doesnot permit urine to flow from the collecting (e.g., expandable)container until a sealed connection has been made with an intermediaryholding/transport device, or unless an override is triggered. The outletmay also include a one-way port, to prevent backflow into thereceptacle.

Returning to FIG. 1, the expandable container 101 is shown having anoutlet 105 at the base of the urine collection device 100. The outletincludes a tube or sheath surrounding a valve. The sheath may protectthe valve, and help connect and/or seal the valve to an attachment on awaste container (e.g., a disposable pouch 107, as shown in FIG. 1). Theoutlet can also include a mating region for mating with a wastecontainer. Thus, the useful lifetime of a urine collection device, andparticularly the container portion of the urine collection device, canbe extended by allowing the device to be drained. Draining the urinecollection device may also make disposal or urine more sanitary.

In some variations, the urine collection system (including urinecollection systems that do not include an expandable container, asdescribed further below) are closed systems, so that urine does notleak, or otherwise leave the urine collection system, thereby minimizingcontact with urine during operation and emptying of the urine collectionsystem. In some variations, the system is an entirely closed system. Forexample, the system may not include an outlet port. In some variations,the urine collection system includes an outlet having a check valveinterface for coupling to a receiving device (e.g., a flushable pouch orother transfer container). The flushable pouch can include a materialthat is disposable (e.g., biodegradable), as previously described. Thus,the flushable pouch can be disposed of in any appropriate fashion. Insome variations the flushable pouch can be flushed down a toilet. Insome variations, the flushable pouch is disposed of using otherwaste-disposal techniques (e.g., solid waste disposal, non-septic wastedisposal, etc.). The check valve interface can include any appropriatevalve that mates and opens with an appropriate (e.g., matching) partnerto allow fluid to flow through the valve.

As described, one or more biases may be used to expand an expandablecontainer into an open configuration so that urine may readily flow intothe urine collection volume. Thus, the bias may provide force necessaryto open the expandable container. Part of the forces overcome by thebias may be the internal pressure in the urine collection system,including the expandable container. For example, the air pressure withinthe urine collection device (particularly the expandable container) canbe regulated. A pump may be provided to draw urine through the tubingand into the receptacle of the urine collection device, as describedbelow. Furthermore, when the expandable container is expanded from acollapsed state, pressure within the urine collection device may belower than external air pressure. The urine collection device can alsoinclude one or more air inlet and/or outlet valves that may eitherpassively or actively regulate the air pressure within the urinecollection device.

Air inlet valves include any appropriate valve for equalizing airpressure within the urine collection device with external air pressure.In some variations the air inlet valve is configured to allow only air(not liquid) to flow from within the urine collection device. Forexample, the air inlet valve may be placed near or above the top of theurine collection device so that urine cannot readily enter it. In somevariations, the air inlet valve includes a one-way valve, preventingurine from exiting the urine collection device through the air inletvalve. For example, the air inlet valve may include a ball valve, a flapvalve, a membrane valve, or any other appropriate valve. In somevariation, the inlet valve is also an outlet valve. In other variations,a separate outlet valve may be used. The air inlet valve may be activelyregulated. For example, air may be allowed to enter or leave the urinecollection system only during certain times (e.g., when expanding theexpandable container, or when pumping fluid from the tubing into thereceptacle, etc.). Thus, the air inlet valve may be regulated bycomputer, mechanical, or manual control, and control may be linked toother functions or devices of the urine collection device (e.g., a pump,a meter, etc.).

In one variation, the air inlet valve includes a lock to maintain theposition of the expandable container, as described above. Thus, when thecollapsible container is in the collapsed state, the air inlet valve isclosed, and external air cannot otherwise enter the collapsiblecontainer. Opening the air inlet valve allows the bias to force open thecollapsible container and can equilibrate the pressure differencebetween the inside and the outside of the collapsible container.

An expandable container can be compressed and packaged for later use.When the packaging is removed, the container can automatically springopen to provide a volume (e.g., 1, liter, 2 liters, etc.) into whichurine can be drained. For example, a package may contain a lock, clamp,or other component that applies an outer force to the sides of acontainer, keeping the container closed despite a bias force tending toexpand the container. The container can be automatically opened afterremoving the expandable container from the package by a bias, such as aleaf spring.

In operation, a urine collection device with an expandable container canbe used to collect urine from a subject, particularly a subject having aurinary catheter. The urine collection device may be sterilized, orpackaged clean or sterile. Thus, the urine collection device (or system)may be removed from the clean or sterile packaging immediately beforeuse, and prepared for connection to the subject. The expandablecontainer can thus be expanded by the bias prior to connection to thesubject from a contracted position into an expanded position. The biasautomatically opens the expandable container, generally without needingto be manually expanded or forced open by the flow of urine into thereceptacle. The urine collection device can then be connected (e.g., viatubing) to a subject wearing a urinary catheter, or to urinary catheterto be worn by a subject. In some variations, the expandable container isexpanded after connection to the subject. Once properly connected, urinemay drain from the subject's bladder into the receptacle of the urinecollection device.

All of the urine drainage and disposal devices, meters, tubing, inlets,outlets, ports, and the methods and techniques described herein can beused with any appropriate urine collection system, and are not limitedto urine collection systems having expandable containers.

Meter

A urine collection device or system can include a meter for measuring atleast one characteristic from urine (e.g., flow rate, volume,temperature, salinity, pH, concentration of materials, etc.). Anyappropriate meter may be used. A meter can include a measurement region,to measure a characteristic from the urine, and a release to control therelease of urine from the meter into the receptacle of the urinecollection device. The meter may be configured so that urine enters (orpasses through) the meter before entering the receptacle region of theurine collection device.

In some variations, the meter is configured to measure the volume ofurine from a subject to whom the urine collection system is attached.For example, the urine collection device can include a meter having aninner measurement region that is calibrated by volume. Urine passes fromthe tubing connecting the urine collection system to the urinarycatheter into the calibrated measurement region of the meter. The urinecan be retained in the calibrated measurement region before beingemptied into a receptacle region to allow the amount of urine to read,measured, and/or stored. In some variations, the meter can include aseries of calibrated volumes that are linked together so that, once onecalibrated volume is full, the next calibrated volume then fills.

For example, urine can flow into meter with a volume that is dividedinto smaller calibrated volumes. As urine enters the meter, it passesinto a first chamber which holds a first volume of urine (e.g., 5 ml, 10ml, 25 ml, 50 ml, 100 ml, etc.). Once the volume of urine in the firstchamber exceeds the capacity of the first volume, urine spills over intoa second volume that is also calibrated to hold a known volume of urine(e.g., 5 ml, 10 ml, 25 ml, 50 ml, 100 ml, etc.), and so on. As theamount of urine exceeds each progressive volume, it spills into anotherchamber that is also calibrated to hold a known amount of urine. Anynumber of chambers may therefore be linked together in this manner,allowing measurement of the volume of urine from the subject.Furthermore, the calibrated chambers may be marked to indicatedsub-volumes (e.g., 1 ml, 5 ml, 10 ml, etc.) that can be read to indicatevolume more precisely, particularly when the last volume holding urineis not completely filled. Each calibrated volume may hold the sameamount, or may hold different amounts.

In some variations, the meter measurement region is transparent,translucent, or otherwise allows an observer to view urine within themeasurement region. This is particularly useful in variations in whichthe measurement region is calibrated so that the volume of urine withinthe meter can be observed directly. Thus, the amount of urine fromwithin the calibrated measurement region can be visually determined. Insome variations, the meter includes markings indicating the volumecontained within the meter region, or the different sub-regions of themeter. After observing or recording the amount of urine in the meter,urine can be released from the urine collection device into thereceptacle, which may hold a large volume of urine. In some variations,the meter includes a meter release for opening or closing portsconnecting the meter and the receptacle region of the urine collectiondevice.

The meter can also determine the flow rate of urine from the catheter.Thus, the meter can include a sensor for detecting the flow rate ofurine. The meter can determine the amount of urine entering the urinecollection device over a known time by including a timer with acalibrated measurement region (e.g., to approximate the rate of urineentering the measurement region). In some variations, the metercalculates the flow rate. In general, a meter can include one or moreelectronic components for sensing, calculating, displaying,transmitting, or storing one or more characteristics of the subject'surine, such as flow rate.

The meter may measure any appropriate characteristic. In addition tourine volume and flow rate, the meter may measure the temperature of theurine, the pH, the chemical composition (e.g., concentration or presenceof urea, ions, salts, hormones, proteins, lipids, etc.), osmoticpressure, or any other characteristic. For example, the meter mayinclude one or more sensors (e.g., electrical, chemical, chemoelectric,etc.) to help determine one or more characteristic. The meter may belinked to a controller, such as a computer, or other electronic device,to detect, store, transmit, analyze and display the urinecharacteristic(s) that are detected. In some variations, the meter maybe remotely connected to a controller or storage device.

The inside of the meter (the region that contacts the urine) may belinked with the receptacle region of the urinary collection devicethorough one or more openings that can be opened or shut to allow urineto pass from within the meter into the receptacle region. For example,the meter can include a plurality of ports through which urine can passfrom the meter into the receptacle. In some variations, urine passesdirectly through the meter without stopping; however, in othervariations, urine can be retained within the meter to allow measurementtherefrom. Thus, the ports linking the meter and the receptacle regionmay be opened or closed (or partially closed) to release urine from themeter into the receptacle. Urine may be released from the meter by ameter release control (e.g., a button, lever, etc.). The meter releasemay open some (or all) of the ports to empty the meter. This can resetthe meter and allow it to make further measurements. By opening aplurality of ports, the meter can be very quickly reset, since thevolume of the measurement region of the meter can be emptied inparallel. Rapid resetting of the meter may be particularly advantageousduring a rapid flow rate.

In some variations, the meter release is a manual release, such as abutton, lever, handle, or toggle, or other trigger that releases urinefrom the meter into the receptacle. Operation of the meter release maybe partially or completely automated. For example, the meter release caninclude an automatic return so that triggering the meter release holdsthe openings between the meter and the receptacle open for somepredetermined period of time (or until the meter is completely drained),and then closes them, resetting the meter release. For example, themeter release may include a spring to close the meter release afteremptying the meter. Operation of the meter release can be triggered whenthe meter is filled to some preset or predetermined level. For example,the meter can include a sensor detecting urine in one or more of thecalibrated meter chambers, and thereby trigger emptying of the meter. Insome variations, the sensor is a mechanical sensor (e.g., the weight ofurine in the chamber triggers the release), or an electrical sensor.

A meter may be used with any appropriate urine collection device orsystem. In some variations, the receptacle region includes an expandablecontainer as described above. Examples of meters appropriate for urinecollection system may be found in the figures, including FIG. 4. In FIG.4, the urine collection device 400 includes a meter 401 configured tomeasure urine volume. This variation of a meter 401 includes a series ofserially-connected calibrated chambers 405 that have calibration markson the transparent surface of the meter to indicate the volume of urineheld in each chamber. The inlet 410 links the inside of the meter totubing that can connect to a urinary catheter. Thus, urine can flow intothe meter from the catheter. The urine first fills up the calibratedchamber of the meter nearest to the inlet (shown here at the far rightside of the meter). Once this first chamber is filled, urine spills overand begins to fill the adjacent calibrated chamber. The top part of eachchamber of the meter is connected, allowing urine to spill from onechamber to the next, as described above.

In FIG. 4, the meter release 416 includes a handle or lever that can beused to drain the meter into the receptacle. The receptacle is shown asa collapsible bag 475. In some variations, this receptacle includes anexpandable container having a bias that automatically opens thereceptacle to receive urine. The urinary collection device shown in FIG.4 also includes a pump 425 that can draw urine from the tubing and intothe meter and receptacle. The pump is located across from the inlet port410. An outlet 460 may be connected to the receptacle so that urine maybe emptied, as previously described. In FIG. 4, the outlet includestubing 462 and an outlet valve 465 that may be connected to an emptyingdevice such as a transfer container or a disposable (e.g., flushable)bag. FIG. 4 also illustrates a hook 450 that can be used to attach theurine collection device to the bed, a stand, or any other appropriatestructure. Thus, the urine collection device may be oriented so thaturine flows (by gravity and/or the pump) into the meter and receptaclefrom the catheter. As described above, any appropriate attachment may beused in addition to (or instead of) the hook shown.

FIGS. 5A to 5D show different views of a urine collection device havinga meter similar to the urine collection device shown in FIG. 4. FIG. 5Ashows a fontal view of a urine collection device. Features such as thosealready described from FIG. 4 are similarly labeled in FIG. 5A to 5C,such as the meter 401, meter release 416, pump 425, outlet 460, inlet410, receptacle 475, and hook 450. FIG. 5A also indicates relativedimensions of this example of a urine collection device. In FIG. 5A,section line D-D indicates a transverse section though the meter regionof the urine collection device, and is shown in FIG. 5B. Section lineB-B indicates a sagittal section through the urine collection device,and is shown in FIG. 5C. Finally, FIG. 5D shows an exploded perspectiveview of the meter of FIGS. 5A to 5C.

The transverse section through the meter in FIG. 5B shows a plurality ofopenings (or ports) 535 connecting the meter and the receptacle portionsof the device. As described above, these ports may be blocked and/oropened by a meter release, to control emptying of urine from the meter.In FIGS. 5A-5D, the meter release is a valve 416 (e.g., an emptyingvalve) that may be manually pulled to empty urine in the meter into thereceptacle. The valve may also be manually returned to the closedposition. The operation of this simple example of a meter release isalso illustrated in the sagittal section shown in FIG. 5C.

The meter release shown in FIGS. 5A to 5D includes a rotatable rodhaving passages therethrough. The release may be opened, allowing urineto empty from the meter into the receptacle by moving the handle 416 (oremptying valve) so that the passages through the rod line up with theopenings in the meter 535 and the openings into the receptacle, so thaturine may flow between the two. In FIG. 5C, a cross-section through themeter release 516 shows the meter release in the closed position,preventing the flow of urine into the receptacle from the meter.

In FIG. 5D, the exploded perspective view shows the construction of onevariation of a meter, having serially arranged and calibrated regionsfor holding urine. In FIG. 5D, the outer transparent cover 555 of themeter region has been removed, revealing the inside of the meter. Thus,it is apparent that the upper region of the each of the calibratedregions 405 is open so that urine may cascade from one region into thenext region as it enters the meter from the inlet 410 and fills up eachcalibrated region. The meter cover 555 is at least partiallytransparent, so that urine may be viewed through the cover. Furthermore,the cover includes markings 560 indicating filling volumes. Thesemarkings may be labeled so that an observer can readily measure a volumeof urine held in the meter.

Another variation of a meter that is part of a urine collection system600 is shown in FIG. 6. In FIG. 6, the meter 601 is calibrated andlabeled to show the volume of urine entering through the inlet 608. Ameter release 612, including an emptying lever 610, may be triggered toempty urine from the meter into the receptacle 650, or drainage bag. Inaddition to the meter 601, the receptacle 650 also includes markings 640(or calibrations) that may provide a rough or approximate estimate ofthe volume of urine within the receptacle. The receptacle also includesan outlet or drain 630 having drainage tubing 632 and an outlet valve635. In some versions, this outlet valve includes a duckbill valve, orother secure valve to prevent the leakage or release of urine unless theoutlet valve is engaged with a disposal device. A pump 615 is alsoincluded in order to draw urine from the tubing 625 into the meter 601and receptacle 640.

FIG. 7 illustrates a system for collecting urine 600 including a meter,as described. FIG. 7 also includes additional components, such as atransfer container 710, and flushable bags 715. Either the transfercontainer 710 or the flushable bag 715 may be attached to the outletvalve 635 to empty urine from the receptacle for disposal.

In operation, a meter may measure any appropriate characteristic ofurine, such as volume, flow rate, chemical composition, etc. The urinarycollection devices described herein may be attached to a urinarycatheter (e.g., a Foley catheter) so that urine may flow into theurinary collection device, particularly the meter region of the urinarycollection device. The characteristic to be measured or monitored maydepend up on the meter (or meters) of the urine collection device.Although the examples of meters described herein describe measurement ofurine volume, any appropriate meter may be used, including, but notlimited, to meters for measuring flow, temperature, pH, chemicalcomposition, etc. More than one meter may be used, and multifunctionalmeters may be used. Urine may be held by the meter for measurement andlater emptied into the receptacle, or measurements may be made from theurine as it passes through (or by) a meter.

In general, the flow of urine from the subject (e.g., a catheter in asubject) into the urine collection system may be facilitated by activelymoving urine through the system. In some variations, a pump may be usedto move urine within at least a portion of the collection system.

Pump

A pump may be used as part of a urine collection device or system. Apump, and particularly a fluid transport pump, may help move urinewithin the fluid collection system so that urine can be collected in areceptacle of a urine collection system. For example, a pump may be usedto move urine though tubing (e.g., connected to a catheter) and into areceptacle having to collect the urine as discussed above. Suitablereceptacles that may be used with the urine collection devices includeexpandable containers (as described above) and non-expandable containers(e.g., bags, boxes, pouches, etc.).

Typically, urine is drained through tubing and into a receiving volume(e.g., a receptacle) by gravity. The tubing is rarely orientedcompletely “downhill” over the entire length of the tubing as it travelsfrom the catheter to the bag. For example, a subject wearing a cathetermay shift position, or the tubing may have to be coiled, and the tubingpathway may have regions where urine collects, rather than continuouslyemptying into the receiving volume. Thus, a pump may be included to moveurine from the tubing and into the receiving volume of the urinecollection device, such as a receptacle or a meter.

Any appropriate pump may be used. For example, the pump may operate byapplying positive pressure (blowing) or negative pressure (suction).Example of different kinds of pumps that may be used include, but arenot limited to: impeller pumps, gear pumps, finger pumps, diaphragmpumps, infusion pumps, peristaltic pumps, piston pumps, variabledisplacement pumps, rotary pumps, etc. The pump may be battery powered.The pump may be associated with one or more air inlet valve to preventsuction from entering a subject's catheter. For example, an appropriateair inlet (or outlet) valve may include a one-way valve or air inletport located near the catheter/tubing interface (e.g., near one end ofthe tubing). In some variations, the urine collection system includesmultiple air inlet/outlet valves to help regulate the pressure withinthe urine collection system.

The operation of the pump may be regulated. For example, the pump may beactivated (turned on and/or off) either manually or automatically, orsome combination thereof. The pump may be entirely manually operated sothat the pump is turned on or off by a user. In some variations, thepump may include a timer so that it runs for some predetermined timeperiod. In some variations, the pump is connected to a sensor that cancontrol the operation of the pump. For example, the sensor may detectfluid within the tubing (or a region of the tubing, e.g., near thecatheter), and may activate the pump. In some variations, the pump iscontrolled by a controller. The controller can include hardware,software, or any combination thereof, for controlling the operation ofany portion of the urine collection system, such as the pump, meters,and other sensors, air inlet/outlet valves, etc.

The pump can be disposable or reusable. In some variations, the pump maybe reused with non-reusable components of the urine collection system.For example, the collection tubing and receptacle portions of a urinecollection system may be replaced but the same pump may be re-used.Likewise, other components of the urine collection system may bereusable or disposable (e.g., the sensors, etc.).

The pump may be located in any appropriate position of the urinecollection system so that the pump will move urine through the tubingand into the receptacle to collect the urine. For example, the pump maybe located near the receptacle, interfacing with the drainage tubing tomove fluid down the tubing and into the receptacle. In some variations,the pump interfaces with the receptacle directly, and not the tubing. Invariations where the pump increases pressure within the tubing, it maybe beneficial to locate the pump near the junction of the catheter andthe tubing so that pressure pushes the urine down the tubing and intothe receptacle. The pump may also be adapted to apply only an acceptablerange or pressures within the urine collection system. For example, thepump can include one or more governors to prevent applying to muchpressure (positive or negative) within the urine collection system.Thus, the pump may automatically shut off if the load on the pumpexceeds a threshold value.

FIG. 8 shows one example of a pump that may be used with the urinecollection system as described herein. FIG. 8 shows an impeller-typepump 800 that is connected to the tubing 805 through a branch tube 805′.In this example, the impeller pump includes an impeller blade 810 thatis rotated on the axle 815 and driven by the motor 820. This pump ispowered by a battery 825. In operation, rotation of the impeller bladedraws a vacuum that pulls urine down the tubing 805 in the directionshown 807. As described above, any appropriate type of pump may be usedto apply pressure and move urine down the tubing and into thereceptacle, including pumps having displacement chambers, propellers,and diaphragms.

In some variations, the pump interfaces with the internal region of theurine collection system. Thus, at least a portion of the pump iscontinuous with the internal region of the urine collection system. Inother variations, the pump remains completely external to the urinecollection system. For example, the pump may be a peristaltic pump thatoperates on the tubing to move urine down the tubing and into thereceptacle. In this example, the urine collection system also includesan air inlet port near the beginning of the tubing (e.g., near thetubing/catheter interface) in the receptacle (or near thetubing/receptacle interface). This prevents excessive pressure or vacuumfrom developing in other parts of the urine collection system (or thecatheter). In operation, a pump may move fluid through tubing and into areceptacle. The pump may draw (e.g., by negative pressure or vacuum) orpush (by positive pressure) fluid through the tubing. The pump may beactivated when urine is present in the tubing and inactivated when urineis no longer in the tubing.

Other examples of urine collection systems having pumps are shown inFIGS. 1, 3A and 3B, 4, 5A, and 6. For example, in FIGS. 1, 3A and 3B,the pump 115, 340 is connected near the interface of the tubing and thereceptacle (shown here as an expandable container). In FIGS. 4, 5A and6, the pump 425 is connected to the meter 401, 601 attached to thereceptacle 475, 650 so that a vacuum draws urine from the tubing intothe meter and receptacle.

Extendable Tubing

As described above, a urine collection system typically includes tubingthat can connect the subject (e.g., a catheter on a subject) to thereceptacle into which urine is collected. Generally, tubing is drapeddown the bed and over the edge where it is attached to a collectionreceptacle (e.g., a urine collection bag). The receptacle is usuallyhung on one of the bed supports above the floor, and the difference inheight between the catheter and the receptacle moves urine from thetubing and into the bag by gravity. Since most existing collectionsystems use tubing that is generally a single length for all sizes andbed lengths, excess tubing is often coiled either on the bed or aroundthe collection bag, which can also create areas where urine can pool.

In some variations of the urine collection devices and systems describedherein, extendable tubing that may be shortened or lengthened connectsto the receptacle (e.g., an expandable container or a non-expandablecontainer). In general, extendable tubing is flexible, adjustable tubingthat can be lengthened and compressed, and will maintain or hold thelength to which it is adjusted. Extendable tubing can include an inner(fluid-contacting) surface with a smooth inner wall surface. The innersurface may be made of an elastomeric material. The flexible tubing mayalso have an outer region (with an outer surface) that is adjustable bychanging (e.g., expanding or contracting) the overall shape of the outerregion.

In general, extendable tubing is any tubing that can change the lengthof the outer region of the extendable tubing between an elongated (orextended) length in which the extendable tubing is fully extended, and acompressed length, in which the outer surface is fully compressed. Thetubing can be lengthened or shortened into any intermediate positionbetween the elongated length and the compressed length. In somevariations, the extendable tubing maintains the length to which it isadjusted, between (and including) the elongated and compressed lengths.Thus, the extendable tubing can be set to a length, and the tubing willstay at substantially that same length until it is readjusted.Typically, the outer region of the tubing (including the outer surface)provides the adjustability and support to the inner region (includingthe inner surface) providing a lumen with a continuous surface forcontacting the urine.

In one variation, the outer region includes telescoping segmentsallowing the tubing to compresses or extend because one or moretelescoping segments of the tubing slide within another segment of theouter surface of the extendable tubing. For example, the outer region ofthe extendable tubing can include at least two tubing segments thattelescope between a compressed and an elongated length. Thus, the outerregion of the extendable tubing can include a first tubing segmenthaving an inner diameter substantially matched to the outer diameter ofa second tubing segment, so that the second tubing segment is slideablewithin the first tubing segment. More than two segments may be connectedin this way. For example, the extendable tubing can include a thirdtubing segment that may have the same inner diameter as the first tubingsegment, so that the second tubing segment also slides within the thirdtubing segment.

In some variations, the outer and inner segments are size-matched sothat, while one can slide within the other, they may hold their positionunless some minimum force is applied to move them. Furthermore, thematerial comprising the segments may be selected to allow sliding, butalso to maintain the position of the segments unless force is applied.Additional materials or structures may also be used to help maintain theposition of the segments (and therefore the chosen length of thetubing). In some variations, a segment including an outer (telescoping)region includes a slider that prevents the telescoping segments fromseparating, and may help secure the extendable tubing at a selectedlength.

FIGS. 9A to 9C illustrate one variation of the extendable tubing havingthree telescoping segments forming the outer surface. In FIG. 9A, thejunctions of all three segments of the extendable tubing are shown,illustrating an extendable tubing that in a compressed configuration.The fist segment of the outer surface 901 is connected to a first slider910 at one end and the second segment 902 slides through the slider 910so that at least a portion of the second segment 902 slides within thelumen of the first segment 901. Similarly, the third segment 903 of theouter surface is attached to a second slider 930 through which thesecond segment 902 slides. Thus, the extendable tubing may be lengthenedor shortened by telescoping the first and second and second and thirdsegments with respect to each other to select a length for the tubing.FIGS. 9B and 9C show examples of urine collection devices havingextendable tubing as shown in FIG. 9A.

In FIG. 9B, the extendable tubing 900 is shown in the fully compressedlength. Both sliders 910, 920 abut each other, and the second segment902 is completely within the first 901 and third 903 segments and thesliders. The extendable tubing 900 is also shown attached to acollection receptacle 950. In FIG. 9C, the extendable tubing 900 is inthe fully elongated configuration. The second segment 902 is no longercompletely within the first 901 and third 903 segments, and the secondsegment 902 is connected to the sliders 910, 930 linking the secondsegment to the first and third segments.

The extendable tubing can also include an inner surface forming apassage through the tubing. In one variation, the inner surface includesat least part of the inner surface of the segments forming the outerregion. For example, in FIGS. 9A to 9C, the inner surface includes theinner surface of the first 901, second 902, and third 903 segments. Inthis example, the sliders 910, 930 seal the segments so that fluid maynot leak from within the lumen of the extendable tubing. The innersurface in this example is not completely smooth, as there may bediscontinuities at the edges of the second segment in the innerdiameter.

In some variations, the inner surface is not formed from the outerregion forming the outer surface. For example, the inner surface may bea lumen formed by another tube within the lumen of the outer region. Theinner surface can include a single continuous wall, thereby preventingleaks and irregular regions, through which urine may leak, as well assmall cavities or chambers where urine may be retained. In somevariations, the inner surface includes an elastomeric material that cancollapse or stretch as the expandable tubing is lengthened or shortened.For example, the inner surface can include a polymeric or rubbermaterial formed into a tube. The inner surface may be attached to thestructure (e.g., segments) forming the outer region in any appropriateposition. For example, the inner surface may be anchored only at theends of the tubing to the segments forming the outer surface, or atdifferent points between the ends of the tubing.

Extendible tubing is not limited to tubing having an outer region thatis telescoping. The outer region may change between an elongated lengthand a collapsed length in any appropriate fashion. For example, theouter surface may lengthen or shorten by expanding or contracting in anaccordion fashion. Alternatively, the outer surface may extend orcontract by changing diameter. FIGS. 2 and 6 show examples of a urinecollection device and system having extendable tubing 220, 625 thatlengthens and shortens accordion-style. For example, in FIG. 6, theextendable tubing 625 includes an outer region having circular ridges(accordion folds). The angle forming the ridges of the outer region ofthe tubing may be made bigger (e.g. up to 180 degrees) or smaller (downto almost 0 degrees) over some, or all, of the length of the tubing inorder to lengthen or shorten, respectively, the outer region andtherefore the length of the extendable tubing. The size and number ofthe ridges may help determine how extendable this variation of theextendable tubing is. Although the extendable tubing shown herein issubstantially round in cross-section (e.g., cylindrical tubing), theextendable tubing may have any appropriate cross-section. For example,the tubing may have a square cross-section, a triangular cross-section,or a cross-section having any polygonal shape.

In operation, the tubing may be attached to a urine collection device(such a receptacle for holding urine) and/or a catheter. The tubing mayalso be part of a urine collection system. The tubing may be extended orcontracted. For example, the tubing may be adjusted to a length thatallows a urine collecting device to be connected to a subject (e.g., asubject wearing a catheter) without an excess length of tubing thatmight retain urine. For example, the extendable tubing may be extendedor contracted in length so that there is no unnecessary slack in thetubing. The length of the extendable tubing can be extended by adjustingthe outer surface of the tubing, as described above. The extendabletubing may be extended and compressed over a wide range of sizes. Forexample, the extendable tubing may extend from a compressed length to anextended length that is more than 1.5 times, 2 times, 2.5 times, 3times, 5 times, or 10 times the length of the compressed length.

The inner surface of the tubing of any urine collection device(including but not limited to extendable tubing) may be made of ortreated with any appropriate substance to inhibit the retention of urinewithin the tubing. For example, the inner surface of the tubing may beembedded, coated, or otherwise treated with a material that increasesthe wetability of the inner surface, and/or lowers the available surfacetension of the inner surface of the tubing. In some variations, aportion of the urine collection device (e.g., the tubing) includes asurfactant to facilitate urine drainage.

Use of Urine Collection Devices

The urine collection devices and systems described herein may be used tocollect urine from a subject. A urine collection device or system mayinclude any combination or sub-combinations of the components describedherein. For example, a urine collection device may include a receptacleto collect urine. The receptacle may be any appropriate receptaclehaving an inner volume that may be used to store urine. For example, thereceptacle may be part of an expandable container having a bias. Theurine collection device can further include an inlet providing accessinto the receptacle. The urine collection device may further includetubing for connecting to the receptacle (e.g., by connecting to theinlet). In some variations, the urine collection device may include ameter for measuring at least one characteristic of urine. In somevariations, the urine collection device may further include a pump formoving urine through the tubing and into the receptacle.

In operation, any of the steps for use described herein may be performedto collect urine from a subject using the urine collection devices orsystems described herein. A urine collection device may be connected toa catheter worn by a subject (e.g., by connecting the tubing of theurine collection device). Urine may then empty from the catheter, andinto the tubing. If the urine collection device includes a pump, a pumpmay be used to move urine through the tubing. The urine may pass througha meter. The meter may measure a characteristic from the urine. Forexample, the meter may measure the volume, flow rate, temperature, pH,concentration of a substance, etc. The meter may hold the urine, or theurine may pass through the meter. In some variations, the meter includesa meter release for emptying the meter. The urine then passes into thereceptacle, where it can be stored. In some variations, the urine may beremoved from the receptacle. In some variations, the entire urinecollection device is disposable.

The urine collection devices and systems described herein may also beincluded as part of a kit. The kit may include additional materialsappropriate for using the devices. For example, a kit may includeinstructions for using the devices or systems. Instructions may beprovided in any appropriate medium, including written, visual,pictographic, audible, or the like. In some versions, the instructionsdescribe the methods of using the device as described above. Kits mayalso include additional materials (e.g., connectors, additional tubing,spare bags, etc.) useful in conjunction with the devices describedherein.

While the invention has been described in terms of particular variationsand illustrative figures, those of skill in the art will recognize thatthe invention is not limited to the variations or figures described. Inaddition, where methods and steps described above indicate certainevents occurring in certain order, those of skill in the art willrecognize that the ordering of certain steps may be modified and thatsuch modifications are in accordance with the variations of theinvention. Additionally, certain steps may be performed concurrently ina parallel process when possible, as well as performed sequentially asdescribed above. Therefore, to the extent there are variations of theinvention, which are within the spirit of the disclosure or equivalentto the inventions found in the claims, it is the intent that this patentwill cover those variations as well. Finally, all publications andpatent applications cited in this specification are herein incorporatedby reference in their entirety as if each individual publication orpatent application were specifically and individually put forth herein.

1. A fluid collection device, comprising: a receptacle; a meter tomeasure at least one characteristic from a fluid, the meter comprising:a measurement region configured to hold a fluid; and a meter release tocontrol the emptying of a fluid from the measurement region into thereceptacle; a plurality of ports between the receptacle and themeasurement region of the meter configured to permit simultaneouspassage of fluid from the meter through the ports; and an inletconnected to the meter through which a fluid can flow.
 2. The deviceaccording to claim 1, wherein the measurement region is calibrated tomeasure fluid volume.
 3. The device according to claim 2, wherein thecalibrated measurement region comprises a series of graduated chambers.4. The device according to claim 1, further comprising extendible tubinghaving a proximal end connected to the inlet.
 5. The device according toclaim 4, wherein the extendible tubing has a distal end in fluidcommunication with a urinary catheter insertable into a subject and themeter is configured to measure a characteristic of urine from thesubject.
 6. The device according to claim 1, further comprising a pumpconfigured to move a fluid through the inlet into the meter.
 7. Thedevice according to claim 1, wherein the meter release comprises alever.
 8. The device according to claim 1, wherein the meter release isan automatic meter release.
 9. The device according to claim 1, whereinthe meter release opens the plurality of ports so that a fluid may flowfrom the measurement region into the receptacle.
 10. The deviceaccording to claim 1, wherein the receptacle comprises an expandablecontainer, the container having a contracted position and an expandedposition, and a bias that converts the container from the contractedposition to the expanded position.
 11. The device according to claim 1,further comprising an air inlet valve.
 12. The device according to claim11, wherein the air inlet valve comprises a one-way valve.
 13. A systemfor collecting a fluid, comprising: a receptacle; an inlet providingaccess into the receptacle; tubing connected to the inlet; a meter tomeasure at least one characteristic from a fluid, the meter comprising ameasurement region and a plurality of closeable ports between thereceptacle and the measurement region of the meter for emptying themeasurement region into the receptacle; and a meter release to controlthe emptying of a fluid from the measurement region into the receptacle.14. The system according to claim 13, wherein the receptacle comprises aself-expanding collection container having a contracted position and anexpanded position and a bias to convert the container from thecontracted position to the expanded position.
 15. The system accordingto claim 13, further comprising a pump for moving a fluid from thetubing into the container.
 16. The system according to claim 13, whereinthe tubing is extendible.
 17. The system according to claim 16, whereinthe extendible tubing is in fluid communication with a urinary catheterinsertable into a subject and the meter is configured to measure acharacteristic of urine from the subject.
 18. A method of measuring thevolume of urine, comprising attaching a urinary collection device to aurinary catheter inserted into a subject, the urinary collection devicecomprising: a receptacle; a meter to measure urine volume, the metercomprising: a calibrated measurement region; and a meter release tocontrol the emptying of urine from the calibrated measurement regioninto the receptacle; a plurality of ports between the receptacle and thecalibrated measurement region of the meter; and an inlet connected tothe meter configured to permit the passage of urine therethrough. 19.The method according to claim 18, further comprising the step ofmonitoring the volume of urine passing into the meter from the urinarycatheter.
 20. The method according to claim 19, further comprising thestep of emptying the calibrated measurement region of the meter into thereceptacle by activating the meter release.
 21. A urine collectiondevice for connecting to a catheter, comprising: a receptacle to collecturine; an inlet connected to the receptacle, configured to permit thepassage of urine therethrough; and extendable tubing connected to theinlet, the extendible tubing comprising an inner wall surrounded by anouter wall, and having a compressed length and an extended length,wherein the extendable tubing is adjustable to a length between thecompressed length and the extended length and maintains the lengths ofthe extendable tubing at the adjusted length.
 22. The device accordingto claim 21, wherein the extended length is greater than twice thelength of the compressed length.
 23. The device according to claim 21,wherein the outer wall of the extendable tubing includes segments thattelescope.
 24. The device according to claim 21, wherein the inner wallincludes a smooth surface.
 25. The device according to claim 21, whereinthe inner wall comprises an elastic material.
 26. The device accordingto claim 21, wherein the outer wall is configured in the shape of anaccordion.
 27. The device according to claim 21, wherein the inner wallof the extendable tubing comprises a surfactant.
 28. The deviceaccording to claim 21, wherein the extendable tubing is flexible. 29.The device according to claim 21, further comprising a meter to measurea characteristic of urine.